| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $550.66 | $5,219.89 | $7,698.94 | |
BCBS
| Professional | $451.62 | $831.79 | $7,911.99 | |
Cigna
| Professional | $577.11 | $773.95 | $8,221.37 | |
Hally Health
| Professional | $469.17 | $5,037.14 | $10,052.62 | |
Hally Health
| Professional | $422.07 | $469.17 | $4,881.92 | |
Molina
| Professional | $32.34 | $32.34 | $5,520.32 | |
United
| Professional | $4,155.68 | $6,078.15 | $9,909.70 |